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Michigan rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $102.33 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $288.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $125.89 / $199.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $275.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $213.80